HSPA CRCST EXAM LATEST ACTUAL EXAM
QUESTIONS AND DETAILED CORRECT ANSWERS
The physical or chemical process that renders an inanimate object, such as a
medical device that may be contaminated with harmful microbes, safe for further
handling that may be accompanied with mechanical or chemical cleaning.
- ANS -Decontamination
What is the first step in the sterilization process? - ANS -Cleaning
To make safe by removing or reducing contamination by infectious organisms or
other harmful substances; the reduction of contamination to an acceptable level.
- ANS -Decontamination
All items returned to decontamination are considered? - ANS -Contaminated
What makes up the One-Way flow?
- ANS -1.) Soiled area
2.)Clean processing area
3.)Sterile storage area
What is needed in order to meet (OSHA'S) safety requirements? - ANS -Personal
Protective Equipment (PPE)
minimizes exposure to bloodborne pathogens and other contaminants. Includes
fluid-resistant facemask, eye protection, a fluid-resistant cover gown, general
purpose utility gloves, and Aluid-resistant shoe covers. - ANS -Personal protective
equipment (PPE)
What are the 4 main goals of point-of-use preparation and transport?
- ANS -1.) Removal of gross soil- so the instruments are easier to clean and to
prevent damage
2.) Prevention of damage- soiled items must be prepared for transport to prevent
damage
3.) Prevention of cross contamination- soiled items must be transferred from
point of use to decontamination to prevent cross contamination
,4.) Keeping others safe- Soiled items must be contained and labeled so that
everyone that comes in contact is safe during the transportation process
All departments that use and store reusable items for later transport to the
Central Service departent need a designated holding area for contaminated items
until they can be retrieved. What should the holding area be labeled with? - ANS -
biohazard signage
Give three ways contaminated items are returned back to CS department?
- ANS -1.) During designated rounds time
2.)Hospital employee might bring back contaminated instruments directly to
decontamination
3.) Central Service technician might be designated to take back instruments to
decontamination
4.) OR staff might send soiled instrument carts up on elevators designates for
contaminated items or if CENTRAL SERVICE DEPARTMENT is located near OR
someone will bring soiled instruments cart to decontamination
What should the contaminated holding area contain?
- ANS -1.) contaminated trash
2.) linen receptacles
3.) hand-washing sink
4.) shielded flush-type commode for liquid waste disposal (only if blood and
suction are stored there)
Where should the preparation process take place? - ANS -User Department
(cleaned where the instrument is first used) EX.) operating room
What are 3 important reasons why the preparation process should begin in the
user department during point-of-use preparation?
- ANS -1.) point-of use- preparation helps prolong the life of instruments because
over time blood and saline cane break down the devices protective finish.
2.) Dry soil and debris especially in instruments with lumens are much more
difficult to remove than moist soil and debris
3.) soil and excess moisture promote the formation of biofilm colonies (biofilm is
highly resistant to cleaning chemicals) so removing the biofilm is essential.
, A collection of microorganisms that attach to surfaces and each other and form a
colony. The colony produces a protective gel that is very difficult to penetrate
with detergents and disinfectants. - ANS -Biofilm
The proper care and handling of instruments and equipment is the responsibility
of who? - ANS -everyone who comes in contact with the instruments
How do you properly complete point-of-use?
- ANS -1.) remove gross soil from instruments while wearing correct PPE while
preparing for transfer
2.) Follow the manufacturer's instructions for Point-of-use cleaning, ex.) flexible
endoscope manufacture suggests water and enzymatic solution be suctioned.
3.) Separate reusable sharps from other instruments and place reusable needles
and cutting edges in a separate container to reduce risk of injury
4.) Separate reusable linen and make sure no instruments are stuck to the linen
5.) remove disposable components, such as blades disposable tubing and
canisters in BIOHAZARD bin
6.) open hinged instruments and disassemble multi-part instruments and place
instruments in the appropriate instruments tray. (Place heavy instruments on
bottom and lighter on top) and be careful with scopes and cords.
7.) keep items together for transportation to CS department if items are
separated or left behind reassemble will be delaye
What is it called when instruments are put on priority processing to use for
another case? - ANS -Turn Over/ Turn Around
When transporting contaminated items what type of carts should be used? - ANS
-Closed cart. VS. cart cart with shelves on bottom (to prevent drips)
While picking up contaminated items on rounds what should be worn to handle
these items? - ANS -Gloves then remove them and wash hands
Recommended practices for contaminated item transport are provided by?
- ANS -1.) "Association for the Advancement of Medical Instrumentation" (AAMI)
2.) and Procedures should reflect (OSHA) regulations and
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